Anxiety DisordersNCT07768995
The Effect of a Psychiatric Nursing Approach Based on the Tidal Model on Psychological Resilience and Self-Compassion Levels in Patients Diagnosed With Anxiety Disorder
A study testing Online Psychiatric Nursing Approach Based on the Tidal Model in people with Anxiety Disorders and Psychiatric Nursing, run by Aslı Tekaüt at 1 site in Turkey (Türkiye).
Trial summary
The purpose of this study is to evaluate the effect of an online psychiatric nursing approach based on the Tidal Model philosophy on the psychological resilience and self-compassion levels of individuals diagnosed with anxiety disorder. The study is designed as a randomized controlled doctoral dissertation. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Anxiety Disorders, Psychiatric Nursing, Nursing Models
- What is being tested?
- Online Psychiatric Nursing Approach Based on the Tidal Model
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 32 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 20 Jan 2026to 5 Jun 2026
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Being officially diagnosed with Anxiety Disorder according to DSM-5 diagnostic criteria,
- Being between 18-65 years of age,
- Having access to a smartphone, computer, and internet connection sufficient to participate in online sessions,
- Volunteering to participate in the study and signing the Informed Consent Form.
Who cannot join
- Having acute psychosis, bipolar disorder, dementia, or a severe neurological disease in addition to anxiety disorder,
- Having cognitive or sensory loss that prevents communication, vision, or hearing,
- Currently participating in another active psychotherapy or psychosocial intervention program simultaneously.
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
University of Health Sciences, Gulhane Institute of Health Sciences
Ankara, Ankara, 06010
About this study
The purpose of this study is to evaluate the effect of an online psychiatric nursing approach based on the Tidal Model philosophy on the psychological resilience and self-compassion levels of individuals diagnosed with anxiety disorder. The study is designed as a randomized controlled doctoral dissertation. The sample consists of individuals who applied to the psychiatry outpatient clinic of a training and research hospital in Ankara, were diagnosed with anxiety disorder, and met the inclusion criteria. Participants were assigned to either the intervention or control group using a computer-generated randomization method. While the control group received only routine clinical follow-ups without any additional intervention, the intervention group participated in 8 sessions of individual online nursing interventions structured according to Tidal Model principles. Data were collected using an Socio-demographic Information Form, the Psychological Resilience Scale, and the Self-Compassion Scale, administered online to both groups before and after the intervention.
Read the detailed description
This study aims to evaluate the effectiveness of a Tidal Model-based psychiatric nursing intervention in clinical practice and to emphasize the importance of holistic, patient-centered approaches in nursing care for patients with anxiety disorders.
Study Hypotheses:
Hypothesis 1 (H1): The psychological resilience levels of individuals who receive the Tidal Model-based psychiatric nursing approach are statistically significantly higher after the intervention compared to the individuals in the control group.
Hypothesis 2 (H2): The self-compassion levels of individuals who receive the Tidal Model-based psychiatric nursing approach are statistically significantly higher after the intervention compared to the individuals in the control group.
Hypothesis 3 (H3): The psychological resilience levels of individuals in the intervention group show a statistically significant increase after the intervention compared to before the intervention.
Hypothesis 4 (H4): The self-compassion levels of individuals in the intervention group show a statistically significant increase after the intervention compared to before the intervention.
Null Hypothesis (H0): There is no statistically significant difference between the intervention and control groups in terms of psychological resilience and self-compassion levels after the intervention.
Anxiety Disorder, Online Care, Tidal Model, Self-Compassion, Psychological Resilience, Psychiatric Nursing
- Conditions
- Anxiety Disorders, Psychiatric Nursing, Nursing Models, Psychological Resilience, Self-Compassion, Telehealth
- Being tested
- Online Psychiatric Nursing Approach Based on the Tidal Model
- Medical subject headings
- Anxiety Disorders
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Online Psychiatric Nursing Approach Based on the Tidal ModelBehavioural
One-on-one nursing sessions were conducted via online video conferencing platforms based on the philosophy of the Tidal Model. The intervention involves session processes aligned with the model's domains (Self, World, Partnership) and its ten commitments, enabling patients to construct their own stories, develop anxiety coping skills (psychological resilience), and cultivate a supportive inner voice (self-compassion).
| Study group | Role | What they receive |
|---|---|---|
| Intervention Group | Experimental | Participants in this group receive one-on-one online psychiatric nursing interventions based on the Tidal Model, conducted via remote video conferencing. The sessions aim to enable patients to recognize their inner strengths and to increase their psychological resilience and self-compassion levels. Receives: Behavioral: Online Psychiatric Nursing Approach Based on the Tidal Model |
| Control Group | No intervention | Participants in this group did not receive any additional psychosocial or nursing interventions between the dates of completing the pre-test and post-test forms. They completed the process continuing only with their routine clinical psychiatric follow-ups and medical treatments at the healthcare institution where they were registered. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Psychological Resilience Scale Score
Change in psychological resilience levels as measured by the Resilience Scale for Adults (33 items, 5-point Likert scale). Minimum score is 33 and maximum score is 165. Higher scores indicate higher levels of psychological resilience (better outcome). Pre-test was administered at Week 0 before intervention, and post-test was administered at Week 8 immediately following the 8-week intervention.
Measured: Baseline (Week 0, pre-test 1 day before intervention) and Post-test (Week 8, 1 day after completion of the 8-week intervention)
Secondary outcomes (1)
Change in Self-Compassion Scale Score
Change in self-compassion levels as measured by the Turkish version of the Self-Compassion Scale (Deniz, Kesici, \& Sumer, 2008; 24 items, 5-point Likert scale). Minimum score is 24 and maximum score is 120. Higher scores indicate higher levels of self-compassion (better outcome). Pre-test was administered at Week 0 before intervention, and post-test was administered at Week 8 immediately following the 8-week intervention.
Measured: Baseline (Week 0, pre-test 1 day before intervention) and Post-test (Week 8, 1 day after completion of the 8-week intervention)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Aug 2026
- Study start20 Jan 2026
- Primary completion5 Jun 2026
- Study completion5 Jun 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Anxiety DisordersStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- This study is designed as a parallel-group, randomized controlled interventional model. Participants diagnosed with anxiety disorder who meet the inclusion criteria are assigned to either the intervention or control group (1:1 ratio) using a computer-generated randomization method. Both groups are followed simultaneously and in parallel throughout the study. Participants in the intervention group receive online, one-on-one psychiatric nursing interventions based on the Tidal Model, alongside their routine clinical follow-ups. Participants in the control group complete the process with only their routine clinical psychiatric follow-ups, without any additional psychosocial intervention. Data are collected from both groups simultaneously at pre-intervention (pre-test), post-intervention (post-test), and follow-up.
- Masking
- None (open label)
- Enrolment
- 32 participants (actual)
Sponsor and investigators
- Lead sponsor
- Aslı Tekaüt
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor-investigator, Aslı Tekaüt, Saglik Bilimleri Universitesi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07768995
- Sponsor's protocol ID
- 2025-462
- Status last verified
- Aug 2026
- First submitted
- 5 Jun 2026
- Last updated
- 17 Aug 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 17 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of a Psychiatric Nursing Approach Based on the Tidal Model on Psychological Resilience and Self-Compassion Levels in Patients Diagnosed With Anxiety Disorder
- ClinicalTrials.gov ID
- NCT07768995
- Acronym / sponsor ID
- 2025-462
- Conditions
- Anxiety Disorders, Psychiatric Nursing, Nursing Models, Psychological Resilience, Self-Compassion, Telehealth
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 32 participants (actual)
- Lead sponsor
- Aslı TekaütUniversity, hospital or other
- Study start
- 20 Jan 2026 (actual)
- Primary completion
- 5 Jun 2026 (actual)
- Study completion
- 5 Jun 2026 (actual)
- First posted
- 17 Aug 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the effect of an online psychiatric nursing approach based on the Tidal Model philosophy on the psychological resilience and self-compassion levels of individuals diagnosed with anxiety disorder. The study is designed as a randomized controlled doctoral dissertation. The sample consists of individuals who applied to the psychiatry outpatient clinic of a training and research hospital in Ankara, were diagnosed with anxiety disorder, and met the inclusion criteria. Participants were assigned to either the intervention or control group using a computer-generated randomization method. While the control group received only routine clinical follow-ups without any additional intervention, the intervention group participated in 8 sessions of individual online nursing interventions structured according to Tidal Model principles. Data were collected using an Socio-demographic Information Form, the Psychological Resilience Scale, and the Self-Compassion Scale, administered online to both groups before and after the intervention.
Detailed description
This study aims to evaluate the effectiveness of a Tidal Model-based psychiatric nursing intervention in clinical practice and to emphasize the importance of holistic, patient-centered approaches in nursing care for patients with anxiety disorders.
Study Hypotheses:
Hypothesis 1 (H1): The psychological resilience levels of individuals who receive the Tidal Model-based psychiatric nursing approach are statistically significantly higher after the intervention compared to the individuals in the control group.
Hypothesis 2 (H2): The self-compassion levels of individuals who receive the Tidal Model-based psychiatric nursing approach are statistically significantly higher after the intervention compared to the individuals in the control group.
Hypothesis 3 (H3): The psychological resilience levels of individuals in the intervention group show a statistically significant increase after the intervention compared to before the intervention.
Hypothesis 4 (H4): The self-compassion levels of individuals in the intervention group show a statistically significant increase after the intervention compared to before the intervention.
Null Hypothesis (H0): There is no statistically significant difference between the intervention and control groups in terms of psychological resilience and self-compassion levels after the intervention.
Anxiety Disorder, Online Care, Tidal Model, Self-Compassion, Psychological Resilience, Psychiatric Nursing
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- This study is designed as a parallel-group, randomized controlled interventional model. Participants diagnosed with anxiety disorder who meet the inclusion criteria are assigned to either the intervention or control group (1:1 ratio) using a computer-generated randomization method. Both groups are followed simultaneously and in parallel throughout the study. Participants in the intervention group receive online, one-on-one psychiatric nursing interventions based on the Tidal Model, alongside their routine clinical follow-ups. Participants in the control group complete the process with only their routine clinical psychiatric follow-ups, without any additional psychosocial intervention. Data are collected from both groups simultaneously at pre-intervention (pre-test), post-intervention (post-test), and follow-up.
| Arm | Type | Receives |
|---|---|---|
| Intervention Group | Experimental | Behavioral: Online Psychiatric Nursing Approach Based on the Tidal ModelParticipants in this group receive one-on-one online psychiatric nursing interventions based on the Tidal Model, conducted via remote video conferencing. The sessions aim to enable patients to recognize their inner strengths and to increase their psychological resilience and self-compassion levels. |
| Control Group | No intervention | –Participants in this group did not receive any additional psychosocial or nursing interventions between the dates of completing the pre-test and post-test forms. They completed the process continuing only with their routine clinical psychiatric follow-ups and medical treatments at the healthcare institution where they were registered. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Being officially diagnosed with Anxiety Disorder according to DSM-5 diagnostic criteria,
- Being between 18-65 years of age,
- Having access to a smartphone, computer, and internet connection sufficient to participate in online sessions,
- Volunteering to participate in the study and signing the Informed Consent Form.
Key exclusion criteria (3 listed)
- Having acute psychosis, bipolar disorder, dementia, or a severe neurological disease in addition to anxiety disorder,
- Having cognitive or sensory loss that prevents communication, vision, or hearing,
- Currently participating in another active psychotherapy or psychosocial intervention program simultaneously.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Online Psychiatric Nursing Approach Based on the Tidal ModelOne-on-one nursing sessions were conducted via online video conferencing platforms based on the philosophy of the Tidal Model. The intervention involves session processes aligned with the model's domains (Self, World, Partnership) and its ten commitments, enabling patients to construct their own stories, develop anxiety coping skills (psychological resilience), and cultivate a supportive inner voice (self-compassion). | Behavioural | Intervention Group |
Primary outcome
Change in Psychological Resilience Scale Score
Time frame: Baseline (Week 0, pre-test 1 day before intervention) and Post-test (Week 8, 1 day after completion of the 8-week intervention)
Change in psychological resilience levels as measured by the Resilience Scale for Adults (33 items, 5-point Likert scale). Minimum score is 33 and maximum score is 165. Higher scores indicate higher levels of psychological resilience (better outcome). Pre-test was administered at Week 0 before intervention, and post-test was administered at Week 8 immediately following the 8-week intervention.
1 secondary outcome
Change in Self-Compassion Scale Score
Time frame: Baseline (Week 0, pre-test 1 day before intervention) and Post-test (Week 8, 1 day after completion of the 8-week intervention)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Aug 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Online Psychiatric Nursing Approach Based on the Tidal Model in people with Anxiety Disorders and Psychiatric Nursing, run by Aslı Tekaüt at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 17 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in Psychological Resilience Scale Score (time frame: Baseline (Week 0, pre-test 1 day before intervention) and Post-test (Week 8, 1 day after completion of the 8-week intervention)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Aug 2026.